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Similarly, in a randomized case-crossover field trial, US smokers reported higher negative effects toward smoking, self-efficacy to quit, response efficacy beliefs, and motivation to quit in the week when their packs included inserts 13

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To complement retail surveillance, consumer surveys are needed to understand perceptions of VLN packaging and 95% less nicotine, as well as to characterize early adopters of VLN, reasons for product trial, and discontinuation